Youngblood, Lisa A

Youngblood, Lisa A is an individual health care provider with primary practice located at 690 W Northfield Dr Ste 200 , Brownsburg IN 46112-7504. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Youngblood, Lisa A can be contacted via phone (317) 779-1466.

Contact Information

Primary practice address
690 W Northfield Dr Ste 200 Brownsburg IN 46112-7504
Phone: (317) 779-1466
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01042167 Indiana

Profile Details

NPI number 1508891276
LBN Legal business name Youngblood, Lisa A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Dec 11th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508891276 NPPES
Indiana MEDICAID 100463820

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